NPI age
18 years
Enumerated 2008-01-25
● Active
Type 1 · Individual
MR. Kyle Jacob Havercroft, PA-C
Havercroft is 1 of 12 physician assistant providers in Coeur D Alene and 1 of 97 in Idaho.
Primary specialty
Physician Assistant
Plus 2 subspecialties
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2016-10-20
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 97 active physician assistant providers in Idaho.
NPI age
18 years
↑ 5 yr above median (13 yr)
State licenses
1 state
23% of peers hold multiple states
Subspecialties
2
In the 56% of peers with subspecialties
NPI lifetime · 2008 → 2026
2008-01Enumerated in NPPES
2008
2026
Where they practice
Practice location
1107 W Ironwood Dr
Coeur D Alene, ID 838142604
Mailing address
2003 Kootenai Health Way
Coeur D Alene, ID 838146051
Specialties
-
Physician Assistant PrimaryDefinition to come...
-
Physician AssistantDefinition to come...
-
Physician AssistantA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 1083729438 | LINKED TO OSSM ORGANIZATION |
Practice context
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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